Individual
MARK ERWIN GLOSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 MAIN STREET, CANDOR, NY 13743
(607) 659-7272
(607) 659-4242
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
147126
NY
207Q00000X
Family Medicine Physician
Primary
147126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00754870
—
NY
Enumeration date
01/23/2006
Last updated
11/19/2011
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